《金匮要略》“肚”之部位探微  

Exploration of the Part of the“Belly”in Synopsis of the Golden Chamber

作　　者：赵东欣 李鹏英[1] ZHAO Dongxin;LI Pengying(Beijing University of Chi-nese Medicine,Beijing(100029),China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《浙江中医药大学学报》2024年第7期834-837,共4页Journal of Zhejiang Chinese Medical University

基　　金：北京中医药大学中医经典理论挖掘与传承专项(2021-JYB-ZYWJCC009)。

摘　　要：[目的]对《金匮要略》中所述“肚”字条文进行辨析,探究“肚”“腹”在《金匮要略》成书时期的用法异同,明确“肚中寒”与“肚热”的具体含义。[方法]通过对“肚”所涉及条文义理进行分析,并考证仲景著书年代“肚”“腹”两字的本意,并结合《伤寒论》《金匮要略》中与条文所述疾病“中寒”“黄疸”相近之条文,总结条文中“肚”的用法。[结果]历代对“肚”的解释较为多样,如认为其为脾脏、属脾经循行部位、腹部的代指等。考究“肚”“腹”两字本义,“腹”先诞生于“肚”,其含义及造词能力均高于“肚”,“肚”最早见于西汉,其多指代动物的胃。又通过考证仲景对“中寒”“黄疸”疾病的理法分析,发现在《金匮要略》中“肚”指代胃腑,其多用于阳明病的表述中。[结论]《金匮要略》中“肚”与“腹”的含义不同“,肚”非与“腹”之互用。[Objective Objective]To distinguish and analyze the provisions of the word“belly”mentioned in Synopsis of the Golden Chamber,and to explore the similarities and differences in the usage of“belly”and“abdomen”during the period when Synopsis of the Golden Chamber was written,and clarify the specific meanings of“cold in the belly”and“heat in the belly”.[Methods Methods]By analyzing the meaning of the articles related to“belly”and verifying the original meaning of the words“belly”and“abdomen”in the era when ZHANG Zhongjing wrote the book,combined with the articles in Treatise on Febrile Diseases and Synopsis of the Golden Chamber that were similar to the diseases“syncope due to pathogenic cold”and“jaundice”described in the articles,the usage of“belly”in the articles was summarized.[Results Results]Throughout history,there had been various interpretations of“belly”,such as considering it as the spleen,a part of the spleen meridian,and a reference to the abdomen.After examining the original meanings of the two characters“belly”,“abdomen”was first born in“belly”,and its meaning and word making ability were higher than“belly”.“Belly”was first seen in the Western Han Dynasty,and it mostly referred to the stomach of animals.Through verifying ZHANG Zhongjing’s analysis of the principles and methods of“syncope due to pathogenic cold”and“jaundice”diseases,it was found that in Synopsis of the Golden Chamber,“belly”referred to the stomach and intestines,which was applied in the expression of Yangming disease.[Conclusion Conclusion]The meanings of“belly”and“abdomen”in Synopsis of the Golden Chamber are different,and“belly”is not a mutual use of“abdomen”.

关 键 词：《金匮要略》 肚 腹 中寒 黄疸 阳明病 阳明中寒 

分 类 号：R222.3[医药卫生—中医基础理论]